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Individual

MR. FRANK JAMES JACKSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A-C., A.T.C.

Contact information

Practice address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103-6224
(610) 402-8900
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-0469
(484) 884-0628

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000001831
PA
363A00000X
Physician Assistant
Primary
MA058371
PA

Other

Enumeration date
09/08/2009
Last updated
07/21/2022
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